<html>
<header>
<link href="http://fonts.googleapis.com/css?family=Oswald|Droid+Sans:400,700" rel="stylesheet" />
	<!-- The Main CSS File -->
	<link rel="stylesheet" href="../CSS/style.css" />
	<!-- jQuery -->
	<script src="../Javascript/jQuery/jquery-1.7.2.min.js"></script>
	<!-- Flot -->
	<script src="../Javascript/Flot/jquery.flot.js"></script>
	<script src="../Javascript/Flot/jquery.flot.resize.js"></script>
	<script src="../Javascript/Flot/jquery.flot.pie.js"></script>
	<!-- DataTables -->
	<script src="../Javascript/DataTables/jquery.dataTables.min.js"></script>
	<!-- ColResizable -->
	<script src="../Javascript/ColResizable/colResizable-1.3.js"></script>
	<!-- jQuryUI -->
	<script src="../Javascript/jQueryUI/jquery-ui-1.8.21.min.js"></script>
	<!-- Uniform -->
	<script src="../Javascript/Uniform/jquery.uniform.js"></script>
	<!-- Tipsy -->
	<script src="../Javascript/Tipsy/jquery.tipsy.js"></script>
	<!-- Elastic -->
	<script src="../Javascript/Elastic/jquery.elastic.js"></script>
	<!-- ColorPicker -->
	<script src="../Javascript/ColorPicker/colorpicker.js"></script>
	<!-- SuperTextarea -->
	<script src="../Javascript/SuperTextarea/jquery.supertextarea.min.js"></script>
	<!-- UISpinner -->
	<script src="../Javascript/UISpinner/ui.spinner.js"></script>
	<!-- MaskedInput -->
	<script src="../Javascript/MaskedInput/jquery.maskedinput-1.3.js"></script>
	<!-- ClEditor -->
	<script src="../Javascript/ClEditor/jquery.cleditor.js"></script>
	<!-- Full Calendar -->
	<script src="../Javascript/FullCalendar/fullcalendar.js"></script>
	<!-- Color Box -->
	<script src="../Javascript/ColorBox/jquery.colorbox.js"></script>
	<!-- Kanrisha Script -->
	<script src="../Javascript/kanrisha.js"></script>
</header>
<body>
	<div class="widget_header wwOptions">
		<h4 class="widget_header_title wwIcon i_16_data">Create Service</h4>
		<div style="float:right">
			<input class="submitIt simple_buttons" type="submit" value="Save">
			<input class="submitIt simple_buttons" type="submit" value="Back">
		</div>
	</div>
	<div class="widget_contents noPadding">
		<table width="100%" border="0" cellpadding="10">
			<tr>
				<td width="15%">
					<span class="label">Service Name</span>
				</td>
				<td width="35%">
					<input class="simple_field" type="text">
				</td>
				<td width="15%">
					<span class="label">Service Active</span>
				</td>
				<td width="35%">
					<input class="simple_form" type="checkbox" style="opacity: 0;">
				</td>
			</tr>
			<tr>
				<td width="15%" valign="top">
					<span class="label">Service Short Description</span>
				</td>
				<td width="35%">
					<textarea class="simple_field"></textarea>
				</td>
				<td width="15%" valign="top">
					<span class="label">Service Full Description</span>
				</td>
				<td width="35%">
					<textarea class="simple_field"></textarea>
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Sub type</span>
				</td>
				<td width="35%">
					<select class="simple_form" style="opacity: 0;">
						<option selected="selected" value="Web Designer">Web Designer </option>
						<option value="Web Developer">Web Developer </option>
						<option value="Other">Other </option>
					</select>
				</td>
				<td width="15%">
					<span class="label">Dept Code</span>
				</td>
				<td width="35%">
					<input class="simple_field" type="text">
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Lead Contact</span>
				</td>
				<td width="35%">
					<input class="simple_field" type="text">
					<input class="submitIt simple_buttons" type="submit" value="Lookup">
				</td>
				<td width="15%">
					<span class="label">Lead Contact</span>
				</td>
				<td width="35%">
					<select class="simple_form" style="opacity: 0;">
						<option selected="selected" value="Web Designer">Web Designer </option>
						<option value="Web Developer">Web Developer </option>
						<option value="Other">Other </option>
					</select>
				</td>
			</tr>
			<tr>
				<td width="15%" valign="top">
					<span class="label">Client Description Description</span>
				</td>
				<td width="35%">
					<textarea class="simple_field"></textarea>
				</td>
				<td width="15%" valign="top">
					<span class="label">Service Description - Delivery</span>
				</td>
				<td width="35%">
					<textarea class="simple_field"></textarea>
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Service Attendance</span>
				</td>
				<td width="35%">
					<select class="simple_form" style="opacity: 0;">
						<option selected="selected" value="Web Designer">Web Designer </option>
						<option value="Web Developer">Web Developer </option>
						<option value="Other">Other </option>
					</select>
				</td>
				<td width="15%">
					<span class="label">Service Contract Code</span>
				</td>
				<td width="35%">
					<input class="simple_field" type="text">
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Service Start Expected</span>
				</td>
				<td width="35%">
					<input id="dp1346401832972" class="simple_field pick_date hasDatepicker" type="text">
				</td>
				<td width="15%">
					<span class="label">Service Contract Value</span>
				</td>
				<td width="35%">
					<input class="simple_field" type="text">
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Service Start Date</span>
				</td>
				<td width="35%">
					<input id="dp1346401832972" class="simple_field pick_date hasDatepicker" type="text">
				</td>
				<td width="15%">
					<span class="label">Contract Staged </span>
				</td>
				<td width="35%">
					<input class="simple_form" type="checkbox" style="opacity: 0;">
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Service End Date</span>
				</td>
				<td width="35%">
					<input id="dp1346401832972" class="simple_field pick_date hasDatepicker" type="text">
				</td>
				<td width="15%">
					<span class="label">Referral Process/Method</span>
				</td>
				<td width="35%">
					<select class="simple_form" style="opacity: 0;">
						<option selected="selected" value="Web Designer">Web Designer </option>
						<option value="Web Developer">Web Developer </option>
						<option value="Other">Other </option>
					</select>
				</td>
			</tr>
			<tr>
				<td width="15%">
					<span class="label">Service Extendable</span>
				</td>
				<td width="35%">
					<input class="simple_form" type="checkbox" style="opacity: 0;">
				</td>
				<td width="15%">
					<span class="label">Service Time Limited</span>
				</td>
				<td width="35%">
					<input class="simple_form" type="checkbox" style="opacity: 0;">
				</td>
			</tr>
			<tr>
				<td width="15%">
					
				</td>
				<td width="35%">
					<input class="simple_field spinner1 ui-spinner-input" type="text" maxlength="1" style="width: 123px; margin-right: 16px; text-align: right;" role="textbox">
					Years
					<input class="simple_field spinner1 ui-spinner-input" type="text" maxlength="1" style="width: 123px; margin-right: 16px; text-align: right;" role="textbox">
					Months
				</td>
				<td width="15%">
					
				</td>
				<td width="35%">
					<input class="simple_field spinner1 ui-spinner-input" type="text" maxlength="1" style="width: 123px; margin-right: 16px; text-align: right;" role="textbox">
					Years
					<input class="simple_field spinner1 ui-spinner-input" type="text" maxlength="1" style="width: 123px; margin-right: 16px; text-align: right;" role="textbox">
					Months
				</td>
			</tr>
		</table>
	</div>
</body>
</html>